重度稳定期慢性阻塞性肺疾病患者心理理论障碍的研究

发布时间：2018-02-24 11:00

本文关键词： 肺疾病慢性阻塞性心理学理论认知障碍　出处：《安徽医科大学学报》2017年09期 　论文类型：期刊论文

【摘要】：目的研究重度稳定期慢性阻塞性肺疾病(COPD)患者的心理理论(To M)障碍。方法选择40例重度稳定期COPD患者(COPD组)以及29例同期年龄、文化水平相匹配的健康体检者(对照组),进行简明精神状态量表、汉密顿焦虑量表、汉密顿抑郁量表、失言察觉和眼区基本情绪识别测试,COPD组同时予以动脉血气分析、肺功能检查,收集两组间一般资料、测试结果并对比分析。结果 COPD组与对照组在失言识别和心理状态判断正确性评分方面差异均有统计学意义(P0.05)。COPD组与对照组在厌、恐、悲、惊、怒的眼区情绪测试正确性评分差异均有统计学意义(P0.05);喜的评分差异无统计学意义。Pearson相关分析显示,动脉血Pa CO2和Pa O2、氧合指数(Pa O2/Fi O2)、气流受限严重程度分级与眼区基本情绪识别及失言察觉任务评分差异均无统计学意义。结论重度稳定期COPD患者存在To M障碍,主要表现在失言识别、心理状态判断以及眼区基本情绪(厌、恐、悲、惊、怒)正确性识别的障碍。
[Abstract]:Objective to study the disorder of mental theory in patients with severe stable chronic obstructive pulmonary disease (COPD). Methods 40 patients with severe stable COPD and 29 patients with chronic obstructive pulmonary disease in the same period were enrolled in this study. The subjects with matched educational level (control group) were assessed with brief mental state scale, Hamilton anxiety scale, Hamilton depression scale, aphasia detection test and eye area basic emotion recognition test. The COPD group was analyzed with arterial blood gas simultaneously. Results there were significant differences between the COPD group and the control group in the recognition of aphasia and the scores of the correctness of mental state judgment. There were significant differences between the COPD group and the control group in terms of boredom, dread and sadness, and the difference between the COPD group and the control group was significant. There were significant differences in the scores of accuracy of eye area emotion test in patients with shock and anger (P 0.05), but there was no significant difference in scores of Xi (P < 0.05). Pearson correlation analysis showed that, There were no significant differences in arterial blood Pa CO2 and Pa O 2, oxygenation index Pa O 2 / fi O 2, severity of airflow limitation, basic emotion recognition in eye area and task score of aphasia detection. Conclusion there is to M disorder in patients with severe stable COPD. The main obstacles are the recognition of false words, the judgment of mental state and the recognition of the basic emotions (boredom, fear, sadness, shock, anger) in the eye area.
【作者单位】：安徽医科大学第一附属医院呼吸内科;安徽医科大学附属合肥医院(合肥市第二人民医院)呼吸内科;安徽医科大学第一附属医院神经内科;安徽医科大学分子生物学实验室生物化学教研室;安徽医科大学附属合肥医院(合肥市第二人民医院)神经内科;
【基金】：国家自然科学基金(编号:81272399)
【分类号】：R563.9

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